How did you hear about us? (Tick only one source) TV Radio Newspaper/Magazine Internet Letter Email ANZ called me Referral from a friend/family Other - please specify Promotion code To assist us please complete the following summary by nominating the type of loan and purpose from the table below Home loans owner occupied property ANZ Standard Variable Rate Home Loan ANZ Simplicity PLUS Home Loan ANZ Fixed Rate Home Loan ANZ Supplementary Loan Loan purpose Property purchase Property to be constructed Increase to existing ANZ loan Refinance/Debt Consolidation/Other Amount Term (years) Investment loans investment property ANZ Variable Rate Residential Investment Loan ANZ Simplicity PLUS Residential Investment Loan ANZ Fixed Rate Residential Investment Loan-Interest-in-Advance ANZ Fixed Rate Residential Investment Loan Loan purpose Property purchase Property to be constructed Increase to existing ANZ loan Refinance/Debt Consolidation/Other Amount Term (years) Equity loans ANZ Equity Manager ANZ Portfolio Loan purpose Property purchase Property to be constructed Increase to existing ANZ loan Refinance/Debt Consolidation/Other Limit amount 100% mortgage offset accounts I/we would like to have an ANZ One offset account linked to my/our loan. Note: Offset accounts can only be linked to ANZ Standard Variable Rate or ANZ 1 Year Fixed Rate loans Please nominate branch to be your point of contact Branch name and address Now, to apply for your ANZ Home Loan, please complete the following sections 1-4 of this application form For ANZ Portfolio applications, please also complete section 1.4 (separate form). Page 1 of 8
1.1 Home Loan Application Form Please complete this application and return it together with the information requested below to ANZ. Completion of this form does not ensure the approval of your credit application. You should complete all sections of the application to provide the information we will require to undertake our assessment. Use this form if the predominant purpose of the facility is for personal, domestic or household use (50% or more) or personal investment (more than 50%). Please attach the following documents Please attach copies of the following documents for all applicants (as applicable) > 1 year business financial statements/tax return (self employed applicants) Security requirements In most cases ANZ require security to support your application. ANZ Home Loans are required to be secured by a first registered mortgage over residential property. > 2 payslips covering the last 3 months with employer s name > Last 3 months bank statements (if refinancing). Personal details (if insufficient space please attach separate notes) Applicant 1 Applicant 2 (if applicable) Title Surname Title Surname Given names Date of birth Given names Date of birth Full residential address Full residential address Time at current address Time at current address Phone number home Phone number work Phone number home Phone number work Mobile number Mobile number Email address Email address Mailing address (if applicable) Mailing address (if applicable) Previous residential address Previous residential address Time at previous address Drivers licence number State Permanent Australian resident Yes No Marital status Single Married Defacto Separated/ Divorced Widowed Current housing situation Own Buying Live with Renting Boarding home home parents Live in Other Specify caravan Name of spouse (if applicable) Time at previous address Drivers licence number State Permanent Australian resident Yes No Marital status Single Married Defacto Separated/ Divorced Widowed Current housing situation Own Buying Live with Renting Boarding home home parents Live in Other Specify caravan Name of spouse (if applicable) Number of Age (in years) of dependent Total number of dependents dependents children (if applicable) for both applicants 1 & 2 Number of Age (in years) of dependent Note: Do not show dependents children (if applicable) dependents already counted by Applicant 1 Bank use only Application number Approved Approved in principle only Declined Page 2 of 8
1.2 Home Loan Application Form Employment details (ANZ may verify your employment details/income with your employer or accountant) Applicant 1 Applicant 2 (if applicable) Occupation Occupation Name of the employer/business Name of the employer/business Employer/business address Employer/business address Phone number work Phone number work Time in current employment Gross annual income Self employed? Yes No If No, Public sector Private sector If No, Full time Part time Casual Time in current employment Gross annual income Self employed? Yes No If No, Public sector Private sector If No, Full time Part time Casual If Yes, please specify name of accountant Phone number If Yes, please specify name of accountant Phone number Name of previous employer Name of previous employer Position held Time in previous employment Position held Time in previous employment Previous employer/business address Previous employer/business address Phone number Phone number Your identification Your identification Are you an existing ANZ customer? Yes No Are you an existing ANZ customer? Yes No If Yes, please specify branch Account number If Yes, please specify branch Account number If No, please complete an Identification Check Record for each signatory that does not currently have a bank account/loan established with ANZ. If No, please complete an Identification Check Record for each signatory that does not currently have a bank account/loan established with ANZ. Solicitor/conveyancing company details Name of solicitor/conveyancing company Phone number Business address Page 3 of 8
1.3 Home Loan Application Form Do not use this page for ANZ Portfolio. Please use section 1.4 instead. Complete for all loans where property is purchased Purchase price Settlement fees & charges Solicitor s fees Other Total Deposit paid Cash contribution Other (eg. gift) Amount/Limit sought complete for all loans where a refinance is to occur Please specify financial institution and attach 3 months of loan statements. Current balance of loan at other institution Accrued interest and fees Other Amount/Limit sought Total Total Type of home To be built New building Existing Vacant land Is any part of your contribution to be repaid to third parties? No Yes If Yes, please specify amount Complete for all Home or Residential Investment Loans (ie. leave blank for ANZ Equity Manager) Repayments Weekly Fortnightly Monthly Interest-only No Yes If Yes, specify Interest-only terms (maximum 10 years) Loan term Fixed rate term Payment method I will arrange a salary deduction I will arrange a periodical payment from my account Account number Other Specify Page 4 of 8
2. Personal Statement of Financial Position All areas must be completed by customers Name(s) Assets Present Value ANZ account(s) total OFI account(s) total Other Cash Assets (Shares/Bonds) Property Assets (list Address & Value) Total Property Assets Contribution paid to deposit on property Total No. of Motor Vehicles No. Total Value of Motor Vehicles Total Other Assets (eg. insured value of contents and valuables, boat etc) please specify Total Total assets (1) Income (average monthly) Base salary Gross (p.a.) Net (p.m.) Income earner 1 Income earner 2 Other income Regular overtime Government benefits/pension Part-time/casual employment Dividends/Interest Commission Rent received Gross (p.m.) Net (p.m.) x75% *Do not show rental property expenses as separate expense items Other please specify Total net monthly income (3) A separate statement of financial position must be completed by each applicant. Married or defacto applicants have the option to complete a joint statement of financial position. A separate statement of financial position needs to be completed for guarantors. * OFI = Other Financial Institution Bank use only Date (dd/mm/yyyy) Liabilities Limit(s) Current Outstanding ANZ Home/Investment Loan/s ANZ Personal Loan ANZ Overdraft ANZ Credit Cards OFI* Home/Investment Loan/s OFI* Personal Loan OFI* Overdraft OFI* Credit/Store Cards Other liabilities Due Outstanding taxation Other please specify Total Liabilities (2) Total assets (1) less Total liabilities (2) Net assets (=1-2) Expenditure (average monthly) Credit commitments Loan repayments for this facility Loan repayment for other ANZ loans Loan repayment for OFI* loans/hps Credit/store cards Other commitments Total Living Expenses (includes: Motor Vehicle, Rates, Electricity, Gas, Telephone, Food, Clothing, personal, Home Insurance and Education Expenses) Rent/Board Insurance Contents/Medical etc Life/Income replacement insurance Child maintenance Other please specify Total net monthly expenditure (4) Total net monthly income (3) less Total monthly expenditure (4) Uncommitted monthly income (=3-4) Application number Branch BSB 0 1 Non-continuing liability Non-continuing expense Page 5 of 8
3. Security Property Details Security property details (if more than one security property, please photocopy this page and use one for each property) Property in the name of Property address Approximate year of construction Utilities Gas Electricity Water Sewerage/septic Road Kerb & channelling Type of property To be built Established Vacant Improvements House Townhouse Unit Garage/Carport No. of spaces Other, please specify (eg tennis court or pool) Current mortgagee name Zoned Residential If residential, is this your principle place of residence? No Yes Commercial Industrial Rural Other, please specify Title Certificate of title Leasehold Other, please specify Volume no. Company title* Folio no. (*Some restrictions may apply to lending to company title holders) Valuation Owner s estimate Value Independent (attach copy) Value Purchase or settlement date Amount paid or to be paid Occupancy Owner Tenant Gross rental pa (if applicable) Construction Brick Weatherboard Fibro Brick veneer Other, please specify If residential Number of bedrooms If rural Land area ha Tin Floor size If this property benefits from views or other notable feature please specify Is the certificate of No To be Yes title held? If yes, please attach Is evidence of tenancy No To be Yes (if applicable) held? If yes, please attach m2 Is a copy of the Sale Contract No To be Yes (if applicable) held? If yes, please attach Bank use only - ANZ Manager to complete Manager s name Phone number Customer lending group name Lending group number Title reference Bank valuing manager to complete Date Land Valuation of buildings Other Total Comments Valuing officer s name Comments (attach additional notes if insufficient space). Please make any additional comments below, detailing any changes in the property between valuations. Page 6 of 8
4. ANZ Assured Not required (Refer to ANZ Assured or Personal Overdrafts - Terms and Conditions brochure for details) Required 5. ANZ Credit Cards Yes, I am interested in applying for an ANZ Credit Card. Please send me an application No Yes 6. Applicant/Guarantor Declaration In the following declaration ANZ is Australia and New Zealand Banking Group Limited ABN 11 005 357 522 and each of its related companies (including subsidiaries). ANZ s collection, use and disclosure of personal information ANZ is collecting your personal information to enable it to process this application and, if it is approved, to provide you with the product or service you are applying for. Where you are a guarantor, ANZ is collecting your personal information to enable it to assess you as a guarantor for an application for credit. Without this information ANZ may not be able to consider or approve this application. ANZ may disclose your personal information to: > any person who introduces you to ANZ > any contractor or service provider ANZ engages to carry out or assist its functions and activities; > credit reporting agencies; > ANZ s alliance partners; > mortgage insurer or re-insurer; > your employer; > any credit provider to assess a credit application, to assess your credit worthiness, to help you avoid default on your obligations or to inform them of your default; > any credit provider for any purpose you have agreed to; > your referee; > an intending guarantor, to enable that person to consider whether or not to act as guarantor, or offer property as security for a credit product that you or a joint borrower have applied for with ANZ; > a person who is a guarantor, or has provided property as security, for a loan; > other persons ANZ is authorised or required by law to disclose information to (and other persons where you have consented to the disclosure); and > any third party providing you with a product or service in relation to the ANZ product. You may request access to your information at any ANZ branch or by calling 13 13 14. Access will be granted in accordance with the Privacy Act 1988 for a reasonable fee. If any of your information is inaccurate, you may request it be corrected. Personal Information Your agreement to the use and disclosure of your personal information applies to any personal information collected by ANZ in the course of your relationship with ANZ. Promotion of other products or services If this application is approved, you agree to ANZ using your personal information to plan, research, market and promote its products or services or those of its related companies and alliance partners and disclosing your personal information to its related companies or alliance partners to enable them or ANZ to market their products or services. Where you do not want ANZ to tell you about its products or services or those of its related companies or alliance partners, you may withdraw your consent by calling 13 13 14. Declaration and privacy consents of Insurer/Re-Insurer of ANZ Because ANZ will or may be seeking lenders mortgage insurance from the insurer/re-insurer listed below, you agree to the insurer/re-insurer doing the following things: > the insurer/re-insurer may obtain a credit report containing your personal information and use it in assessing ANZ s application for insurance; > the insurer/re-insurer may obtain information about your commercial activities and commercial credit worthiness from any business which provides that type of information, and use that information to assess ANZ s application for insurance; > the insurer/re-insurer may give your personal information (including information about your credit worthiness, history, standing or capacity) to any credit reporting agency, any contractor or service provider the insurer/re-insurer engages to provide services connected with your relationship with the insurer/re-insurer, and any credit provider. You authorise these people to have access to your personal information from the insurer/re-insurer. The insurer/re-insurer may also receive your personal information from these people. In each case however, your personal information is only to be given or received in connection with ANZ s application for insurance or the insurance/reinsurance provided. The insurer is as follows: The re-insurer is as follows: ANZ Lenders Mortgage Insurance Pty Ltd ABN 77 008 680 055 QBE Lenders Mortgage Insurance Ltd ABN 70 000 511 071 Level 6, 833 Collins Street, Docklands Vic 3008 Level 21, AMP Centre, 50 Bridge Street, Sydney NSW 2000 Enquiries call 13 25 99 Phone 1300 367 764 Use of commercial credit information ANZ may obtain information about your commercial activities and commercial credit worthiness from any business which provides that type of information. ANZ may use that information to assess your credit application or, where applicable, to assess whether to accept you as a guarantor of credit applied for by the applicant. Page 7 of 8
6. Applicant/Guarantor Declaration (cont) Banker s Opinion ANZ may obtain from other banks, and disclose to other banks, a banker s opinion about your consumer credit worthiness for use in the assessment of this credit application. Identification procedures If you do not have an existing ANZ account you must complete the applicable customer identification procedure required by Federal legislation. Declaration of Purpose under the National Credit Code for a Credit Contract I/We declare that the credit to be provided to me/us by ANZ is to be applied wholly or predominantly for: business purposes; or investment purposes other than investment in residential property (or for both purposes). IMPORTANT You should only sign this declaration if this loan is wholly or predominantly for: business purposes; or investment purposes other than investment in residential property. By signing this declaration you may lose protection under the National Credit Code. This declaration applies to the following credit: Purpose: Amount: Purpose: Amount: Signature Date Signature Date Nomination for Correspondence under the National Credit Code for a Credit Contract Important information for people completing this declaration: Each debtor is entitled to receive a copy of any notice or other document under the National Credit Code. By completing this declaration, I am/we are giving up the right to be provided with information direct from ANZ. Any person who has signed this form can advise ANZ at any time in writing that they wish to cancel their nomination. I/We nominate (full name of person nominated) Print address of nominated party Description of Credit (loan type and amount) to receive notices and other documents under the National Credit Code on behalf of me/all of us. Authority to discuss information with Accountant or Employer I/We authorise ANZ to confirm the details contained in my/our Loan Application with my/our accountant, financial adviser or employer. A copy of this acknowledgement page may be given to my/our accountant, financial adviser or employer as evidence of my/our consent to them confirming with ANZ any of the details in my/our Loan Application. DECLARATION SIGNATURE Declaration required in respect of all products applied for pursuant to this application. It is to be signed by all applicants and intending guarantors. My/Our signature below evidences my/our understanding and consent to all matters set out in this application and this declaration. By signing below, I/we confirm that the information contained in, and accompanying, the Loan Application (including any information contained in the Personal Statement of Financial Position) and all the information provided by me/us, is true, correct and complete and given in support of this application. I/We also declare that any documents provided containing financial information are true copies of the final signed versions of the original documents. Where the Nomination for Correspondence has been completed, by signing this declaration I/we agree to the nominated person receiving notices and other documents under the National Credit Code on behalf of me/us. Applicant/Guarantor co-applicant/guarantor Signature Date Signature Date Print name Print name Witness Signature (only required where Declaration of Purpose section has been completed) Signature Date Name 120274 ANZ s colour blue is a trade mark of ANZ. Item No. 930896A 06.2010 W193227 Page 8 of 8